Proximal interphalangeal joint (PIPJ) arthritis causes pain, stiffness, and reduced hand function, often from osteoarthritis, trauma, or inflammatory disease. Daily tasks such as gripping become difficult, limiting quality of life. Standard management includes NSAIDs, splinting, injections, or surgery such as arthroplasty and arthrodesis, which may sacrifice motion. Denervation offers a joint-preserving alternative by interrupting sensory nerve supply while maintaining motor function and stability. This minimally invasive technique reduces pain and preserves mobility, making it a valuable option for patients seeking relief without fusion or replacement, particularly in early or moderate disease stages. The video here narrates the experience of a patient who was had denervation surgery.